Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $44.72 / $47.90	Facility		$44.72	$44.72	$47.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $44.72 / $67.31	Professional		$34.65	$44.72	$67.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $215.22 / $416.31	Facility		$163.63	$215.22	$416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $102.49 / $168.35	Professional		$41.75	$102.49	$168.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $72.29 / $111.98	Facility		$44.72	$72.29	$111.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $43.10 / $481.72	Professional		$27.01	$43.10	$481.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $132.29 / $176.96	Facility		$63.66	$132.29	$176.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $116.88 / $176.96	Professional		$63.66	$116.88	$176.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $74.59 / $74.59	Professional		$74.59	$74.59	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $43.10 / $143.68	Professional		$27.40	$43.10	$143.68